Could a New Court Settlement Require Insurance Carriers in California to Cover ABA?

Last week, the United States Court of Appeals for the Ninth Circuit made a landmark decision in a case involving California’s Mental Health Parity Act (AB-88). In the suit, the plaintiff, who suffers from Anorexia Nervosa, one of the serious mental illnesses covered by California’s Parity Law, argued that because her treatment was deemed medically necessary, that it should have been paid for by her insurance carrier regardless of whether or not it was a plan benefit. In the Parity Act, an insurance plan that falls under the scope of the act is required to provide ALL medically necessary care for serious mental illnesses stating,

“Every health care service plan contract issued, amended, or renewed on or after July 1, 2000, that provides hospital, medical, or surgical coverage shall provide coverage for the diagnosis and medically necessary treatment of severe mental illnesses of a person of any age . . . under the same terms and conditions applied to other medical conditions…”

The court, as well as California’s Department of Managed Healthcare, agreed with the plaintiff and ordered her insurance carrier to pay for her treatment.

What does this mean for children with autism in California? For years, insurance companies have used the excuse that Applied Behavior Analysis (ABA) is not a covered benefit as a means to get out of paying for the expensive therapy. Only time will tell, but this decision certainly opens the door to the possibility of a California which does not discriminate against children with autism by refusing to pay for the medically necessary therapy they need and deserve.

You can read the case summary here: http://calaba.org/ppc/NinthCircuitOpinion_CA-MHPA_Harlick-vs-BlueShield.pdf

  • E-Mail
  • Facebook
  • Twitter
  • LinkedIn
  • Tumblr
  • Technorati
  • Reddit
  • MySpace
  • Google Buzz
  • Delicious
This entry was posted in Insurance and tagged , , , . Bookmark the permalink. Trackbacks are closed, but you can post a comment.

29 Trackbacks

  1. By q10 co enzyme on June 21, 2012 at 6:29 pm

    q10 co enzyme…

    [...]Could a New Court Settlement Require Insurance Carriers in California to Cover ABA?[...]…

  2. By take m y a on June 26, 2012 at 12:16 am

    Sites we Like……

    [...] Every once in a while we choose blogs that we read. Listed below are the latest sites that we choose [...]……

  3. By statin coenzyme q10 on June 29, 2012 at 1:35 am

    statin coenzyme q10…

    [...]Could a New Court Settlement Require Insurance Carriers in California to Cover ABA?[...]…

  4. By Ckeck mi out on July 2, 2012 at 8:50 am

    Recent Blogroll Additions……

    [...]usually posts some very interesting stuff like this. If you’re new to this site[...]……

  5. By disaprovee on July 8, 2012 at 3:46 am

    Sites we Like……

    [...] Every once in a while we choose blogs that we read. Listed below are the latest sites that we choose [...]……

  6. By Here on July 9, 2012 at 4:29 am

    Check this out…

    [...] that is the end of this best pre workout supplement. Here you’ll find some sites that we think you’ll appreciate, just click the links over[...]……

  7. By uk fast cash loans on July 9, 2012 at 5:12 am

    … [Trackback]…

    [...] There you will find 70833 more Infos: blog.centerforautism.com/2011/09/07/could-a-new-court-settlement-require-insurance-carriers-in-california-to-cover-aba/ [...]…

  8. By Home Page on July 9, 2012 at 8:03 am

    Links Trackback…

    [...]Sites of interest we have a link to[...]……

  9. By quiet title on July 9, 2012 at 2:45 pm

    Check this out…

    [...] that is the end of this article. Here you’ll find some sites that we think you’ll appreciate, just click the links over[...]……

  10. By Mauritius Bungalows for Rent on July 10, 2012 at 2:24 am

    Awesome website…

    [...]the time to read or visit the content or sites we have linked to below the[...]……

  11. By how to make a website on July 10, 2012 at 2:12 pm

    … [Trackback]…

    [...] There you will find 62497 more Infos: blog.centerforautism.com/2011/09/07/could-a-new-court-settlement-require-insurance-carriers-in-california-to-cover-aba/ [...]…

  12. By what is cloud computing on July 10, 2012 at 5:23 pm

    … [Trackback]…

    [...] Read More here: blog.centerforautism.com/2011/09/07/could-a-new-court-settlement-require-insurance-carriers-in-california-to-cover-aba/ [...]…

  13. By saludbelleza.org salud mental on July 10, 2012 at 8:06 pm

    …. [Trackback]…….

    [...]Hello I discovered your weblog web internet sheet entire world-broad-website globe broad web internet site for the entire world-extensive-world-wide-web and actual physical appearance some of the respective early posts. Proceed to deal with inside…

  14. By sesion en hotmail on July 10, 2012 at 8:53 pm

    [...] Trackback [...]…

    Hello soul, An interesting article that speaks understandably of the message, I appear saucy to indication quality entropy as we show in this website…

  15. By Sistema Linux on July 10, 2012 at 9:45 pm

    …. [Trackback]…….

    [...]Hello I discovered your weblog globe wide web internet site world wide internet net web sheet to the world wide web and visual appeal some of your respective previously posts. Carry on to look after inside the astounding run. I just now extra impr…

  16. By Villas in Mauritius on July 10, 2012 at 11:32 pm

    Websites we think you should visit…

    [...]although websites we backlink to below are considerably not related to ours, we feel they are actually worth a go through, so have a look[...]……

  17. By visita mi blog on July 11, 2012 at 6:20 am

    …. [Trackback]…….

    [...]Hello I found your weblog internet website internet web website inside the earth extensive website and glimpse some within your earlier posts. Carry on to maintain within the amazing run. I just now added enrich your Rss to my MSN Thing Reader. In…

  18. By que es ciencia on July 11, 2012 at 7:21 am

    [...]Trackback[...]…

    Impart you for acquire this article with your readers, I similar this idea and science, I opine is ever associated to one another, salutation friends and success….

  19. By cartas de amor para mi novia on July 11, 2012 at 9:10 am

    …. [Trackback]…….

    [...]Hello I located your weblog planet-extensive-internet website planet huge word wide web world-wide-web web site to the website and physical appearance some of your respective previously posts. Carry on to deal with inside of of the excellent funct…

  20. By via on July 11, 2012 at 9:43 am

    …. [Trackback]…….

    [...]Hello I discovered your weblog internet web site world-wide-web world-wide-web internet site around the net and bodily visual appeal some of your early posts. Carry on to handle within just the wonderful function. I just now extra enhance your Rss…

  21. By poemasdeamor on July 11, 2012 at 10:33 am

    [...]Trackback[...]…

    Impart you for portion this article with your readers, I suchlike this line and ability, I expect is e’er connected to one another, acknowledgment friends and success….

  22. By Ecologia on July 11, 2012 at 11:14 am

    …. [Trackback]…….

    [...]Hello I discovered your weblog web web page entire world-wide-website world wide web word wide web site with the internet and visual appeal some of your respective earlier posts. Proceed to help keep up within the amazing function. I just now adde…

  23. By Click Here on July 11, 2012 at 1:31 pm

    … [Trackback]…

    [...] Informations on that Topic: blog.centerforautism.com/2011/09/07/could-a-new-court-settlement-require-insurance-carriers-in-california-to-cover-aba/ [...]…

  24. By kitchen utensils on July 11, 2012 at 1:43 pm

    Links…

    [...]Sites of interest we have a link to[...]……

  25. By leer mas on July 11, 2012 at 2:30 pm

    …. [Trackback]…….

    [...]Hello I found your weblog entire world-vast-website site planet extensive world-wide-web web net website about the web and bodily appearance some of the earlier posts. Proceed to keep up within just the wonderful run. I just now extra enhance your…

  26. By wank tube on July 12, 2012 at 7:35 am

    Superb website…

    [...]always a big fan of linking to bloggers that I love but don’t get a lot of link love from[...]……

  27. By online pcb quotation on July 12, 2012 at 12:05 pm

    Check this out…

    [...] that is the end of this article. Here you’ll find some sites that we think you’ll appreciate, just click the links over[...]……

  28. By rochii on July 12, 2012 at 12:19 pm

    Awesome website…

    [...]the time to read or visit the content or sites we have linked to below the[...]……

  29. By Make money on July 12, 2012 at 12:33 pm

    Websites we think you should visit…

    [...]although websites we backlink to below are considerably not related to ours, we feel they are actually worth a go through, so have a look[...]……

Post a Comment

Your email is never published nor shared. Required fields are marked *

*
*

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>